KEVIN M BECKER OD Optometrist License verification

Business Entity

INOPERATIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****16

License Status

INOPERATIVE

Business

Title

First Name

KEVIN

Middle

Last Name

BECKER

Business Name

KEVIN M BECKER OD

Original Issue Date

05/22/1996

Effective Date

04/01/2024

Expiration Date

03/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/01/2024